-LRB- CNN -RRB- -- At least three tornadoes caused massive damage in Virginia and injured more than 200 people on Monday , officials said .

This Suffolk , Virginia , house was destroyed by an apparent tornado Monday .

At least 200 were injured in Suffolk where a twister destroyed several homes and businesses , said Bob Spieldenner of the Virginia Department of Emergency Management .

The storm hit the 138-bed Sentara Obici Hospital , though Spieldenner said the facility was still operational and accepting patients .

A second tornado struck Colonial Heights -- about 60 miles northwest , near Richmond -- injuring at least 18 people , he said .

A third twister damaged several homes near Lawrenceville , about 70 miles south of Richmond , said Bryan Jackson , a meteorologist with the National Weather Service , which confirmed all three tornadoes .

Gov. Tim Kaine declared a Virginia-wide state of emergency as hazardous weather continued through the central part of the state .

The Suffolk twister touched down just before 4 p.m. ET and plowed its way east into Norfolk , damaging scores of homes , stores and cars and downing dozens of trees and power lines , Jackson said . Watch as a witness describes the tornado form ''

Video footage from the scene showed roofs torn off homes , cars flipped over , trees snapped in two and a caved-in section of a newly constructed shopping center .

Furniture , fences and mounds of other debris were tossed in streets , parking lots and lawns . Watch the storm 's massive destruction from the air ''

A tornado warning over the area remained in effect Monday evening .

Jeff Judkins , the city 's emergency management coordinator , said there also were reports of people trapped inside cars . It 's the worst damage he 's seen in the area , he said .

An emergency shelter will be established by Monday night , Suffolk spokeswoman Dana Woodson said .

Officials initially reported a fatality , but later determined that it was unrelated to the storm , she said . E-mail to a friend

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NEW : Injuries in Suffolk , where a tornado destroyed homes and businesses

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A second tornado struck Colonial Heights injuring at least 18 , an official said

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Video shows roofs torn off , cars flipped , trees snapped in half

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A third twister damaged several homes near Lawrenceville